Veterans Application for Assistance in Acquiring Special Housing Adaptations

ICR 200406-2900-008

OMB: 2900-0300

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0300 200406-2900-008
Historical Active 200105-2900-002
VA
Veterans Application for Assistance in Acquiring Special Housing Adaptations
Extension without change of a currently approved collection   No
Regular
Approved without change 07/27/2004
Retrieve Notice of Action (NOA) 06/15/2004
  Inventory as of this Action Requested Previously Approved
07/31/2007 07/31/2007 07/31/2004
75 0 75
25 0 25
0 0 0

This form is completed by veterans who are blind, or veterans who have lost, or lost the use of both hands, in applying for benefits as authorized by 38 U.S.C 2101(b) for acquiring adaptations to veterans' homes.

None
None


No

1
IC Title Form No. Form Name
Veterans Application for Assistance in Acquiring Special Housing Adaptations 26-4555D

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 75 75 0 0 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/15/2004


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